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1104822881
FRED A. BLOOM
WATERVILLE, ME
NPI
1104822881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME 007673)
Enumeration Date
2005-06-27
Last Update Date
2007-07-09
Business Address
Dr. FRED A. BLOOM M.D.
67 SILVER STREET
WATERVILLE, ME 04901
Phone number: 207-873-1636
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Mailing Address
Dr. FRED A. BLOOM M.D.
67 JOURNEY'S END RD.
MT. VERNON, ME 04352
Phone number: 207-873-1636
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